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MR. CHARLES WALTER LEVIKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
7135 STATE ROUTE 12, LOWVILLE, NY 13367-2829
(315) 783-3091
Mailing address
7135 STATE ROUTE 12, LOWVILLE, NY 13367-2829
(315) 783-3091

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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